| NPI | 1114962610 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA G81238) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NV 11824) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2021-10-15 |